Insurance Follow-Up Representative

About the role

Join Lehigh Valley Health Network as an Insurance Follow-Up Representative, working collaboratively with department leadership to manage open Accounts Receivable, resolve underpayments and denials, and support the organization’s commitment to high‑quality patient care.

Key responsibilities

• Review and manage open Accounts Receivable, documenting follow‑up activities to resolve underpayments and denials.
• Conduct root‑cause analysis of denials, take corrective actions, and escalate trends to management.
• Identify denial and underpayment trends, recommend system modifications, and prepare reports for provider representatives and senior leadership.
• Calculate and submit adjustment and refund requests with appropriate codes and documentation.
• Respond to emails and correspondence within 24‑48 hours and manage mail from patients and insurers.

Required profile

• High School Diploma/GED with at least 2 years of professional billing or collections experience for major third‑party payers.
• Excellent follow‑up, verification, verbal and written communication skills.
• Knowledge of insurance contracts and regulations.
• Successful completion of DOE and Revenue Cycle Education Training within 3 months of hire.

Required skills

• Proficiency with Microsoft Excel.
• Proficiency with Microsoft Word.
• Proficiency with Microsoft PowerPoint.